Fat oxidation in nonobese and obese adolescents: effect of body composition and pubertal development.
OBJECTIVE
To measure postabsorptive fat oxidation (F(ox)) and to assess its association with body composition (lean body mass [LBM] and body fat mass [BFM]) and pubertal development.


METHODS
We studied 235 control (male/female ratio = 116/119; age [mean +/- SD]: 13.1 +/- 1.7 years; weight: 45.3 +/- 10.5 kg; LBM: 34.3 +/- 7.1 kg; BFM: 11.0 +/- 4.5 kg) and 159 obese (male/female ratio = 93/66; age: 12.9 +/- 2.1 years; weight: 76.2 +/- 19.1 kg; LBM: 47.4 +/- 10.9 kg; BFM: 28.8 +/- 9.2 kg) adolescents. Postabsorptive F(ox) was calculated from oxygen consumption, carbon dioxide production, and urinary nitrogen as measured by indirect calorimetry and Kjeldahl's method, respectively. Body composition was determined by anthropometry.


RESULTS
Postabsorptive F(ox) (absolute value and percentage of resting metabolic rate) was significantly (p < 0.001) higher in the obese adolescents (76.7 +/- 26.3 gm/24 hours, 42.3% +/- 18.7%) than in the control subjects (40.0 +/- 26.3 gm/24 hours, 28.7% +/- 17.0%), even if adjusted for LBM. F(ox) corrected for BFM was similar in control and in obese children, but was significantly lower in girls compared with boys (control male subjects: 62.1 +/- 29.1 gm/24 hours, control female subjects: 51.6 +/- 28.4 gm/24 hours, obese male subjects: 57.3 +/- 29 gm/24 hour, obese female subjects: 45.0 +/- 28.4 gm/24 hours). BFM and LBM showed a significant positive correlation with F(ox). By stepwise regression analysis the most important determinant of F(ox) was BFM in obese and LBM in control children. There was a significant rise in F(ox) during puberty; however, it was mainly explained by changes in body composition.


CONCLUSIONS
Obese adolescents have higher F(ox) rates than their normal-weight counterparts. Both LBM and fat mass are important determinants of F(ox).
Molnár
D
D
Department of Pediatrics, University Medical School of Pécs, Hungary.
Schutz
Y
Y
D000273:Adipose Tissue / Q000378:metabolism*; D000293:Adolescent; D000704:Analysis of Variance; D001823:Body Composition; D002153:Calorimetry, Indirect; D002245:Carbon Dioxide / Q000378:metabolism; D004734:Energy Metabolism; D005260:Female; D006801:Humans; D008297:Male; D009584:Nitrogen / Q000652:urine; D009765:Obesity / Q000378:metabolism*; D010101:Oxygen Consumption; D011627:Puberty / Q000378:metabolism*; D012044:Regression Analysis
D002245:Carbon Dioxide; D009584:Nitrogen